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APPLICATION rOR �L�CTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 259-8810 <br /> � /"04C r�ai F N �n �1J1— .'+��`t !h C ✓-Q•v•� L✓Y� <br /> O�r Mail Address ' City Swte/Zip P6one <br /> Tenant Mail Address City State/Zip Phone <br /> _. �}O P s /G I•�o p L� r C oSws�..+-• „ � (.�✓�— <br /> Electrical Contrector Meil Address City Smte/Z.ip Phone Slate License No. <br /> Contrect Price of Work Proposed Use of Building <br /> .� 7�1 (�v(� �iu��ni �. <br /> Project Address <br /> Descriptioo of Work to Be Done: ��.,pa i�^i Ta /+�` �t r t. <br /> � <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITU770NAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT W[LL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS RfiQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABL[S, <br /> NOT RACEWAYS). <br /> I HEREHY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA7TON AND KNOW THE SAME TO BE TRUE <br /> AND CORRECI'. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HERE[N OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLA'I'E OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCCION OR THE PERFORMANCE OF CONS'I'RUCTION. THAT I AM AIJTHORIZED BY 7'HE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATTON IS MADE AND I COMPLY WI'I'H <br /> THE STA'fE CONTRAC7'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> X /� �i <br /> �C.�� .. - — � �S� /9�5� Fee <br /> Sisnaturo ` � Date <br /> /-�� 7 <br /> �i«srr�is�oi� <br />